Analyzing central-line associated bloodstream infection prevention bundles in 22 countries: The results of ID-IRI survey

Devrim I. Erdem H. El-Kholy A. Almohaizeie A. Logar M. Rahimi B.A. Amer F. Alkan-Ceviker S. Sonmezer M.C. Belitova M. Al-Ramahi J.W. Pshenichnaya N. Gad M.A. Santos L. Khedr R. Hassan A.N. Boncuoglu E. Cortegiani A. Marino A. Liskova A. Hakamifard A. Popescu C.P. Khan M.A. Marinova R. Petrov N. Nsutebu E. Shehata G. Tehrani H.A. Alay H. Mareković I. Zajkowska J. Konkayev A. Ramadan M.E. Pagani M. Agin H. Tattevin P. El-Sokkary R. Ripon R.K. Fernandez R. Vecchio R.F.D. Popescu S.D. Kanj S.
December 2022 Elsevier Inc.

American Journal of Infection Control
2022 #50 Issue 12 1327 - 1332 pp.

Background: Because central line-associated bloodstream infections (CLABSIs) are a significant complication of central venous access, it is critical to prevent CLABSIs through the use of central line bundles. The purpose of this study was to take a snapshot of central venous access bundles in various countries. Methods: The participants in intensive care units (ICUs) completed a questionnaire that included information about the health center, infection control procedures, and central line maintenance. The countries were divided into 2 groups: those with a low or low-middle income and those with an upper-middle or high income. Results: Forty-three participants from 22 countries (46 hospitals, 85 ICUs) responded to the survey. Eight (17.4%) hospitals had no surveillance system for CLABSI. Approximately 7.1 % (n = 6) ICUs had no CLABSI bundle. Twenty ICUs (23.5%) had no dedicated checklist. The percentage of using ultrasonography during catheter insertion, transparent semi-permeable dressings, needleless connectors and single-use sterile pre-filled ready to use 0.9% NaCl were significantly higher in countries with higher and middle-higher income (P < .05). Conclusions: Our study demonstrated that there are significant differences in the central line bundles between low/low-middle income countries and upper-middle/high-income countries. Additional measures should be taken to address inequity in the management of vascular access in resource-limited countries.

Bundle , Catheter , Central line , CLABSI , Infection , Sepsis

Text of the article Перейти на текст статьи

Pediatric Infectious Diseases Department, Dr. Behçet Uz Childrens Hospital, Izmir, Turkey
Department of Infectious Diseases, Bahrain Oncology Center, King Hamad University Hospital, Busaiteen, Bahrain
Department of Clinical Pathology, Faculty of Medicine, Cairo University, Giza, Egypt
Pharmaceutical Care Division, King Faisal Specialist Hospital Specialist Hospital and Research Center, Riyadh, Saudi Arabia
Department of Infectious Diseases, UMC Ljubljana, Ljubljana, Slovenia
Department of Infectious Diseases, Kandahar University Medical Faculty, Teaching Hospital, Kandahar, Afghanistan
Department of Medical Microbiology and Immunology, Faculty of Medicine, Zagazig University, Zagazig, Egypt
Department of Infectious Diseases and Clinical Microbiology, Onsekiz Mart University, Medical Faculty Hospital, Canakkale, Turkey
Department of Infectious Diseases and Clinical Microbiology, Hacettepe University, School of Medicine, Ankara, Turkey
Department of Anesthesiology and Intensive Care, University Hospital “Queen Giovanna”-ISUL, EAD, Sofia, Bulgaria
Department of Infectious Diseases, School of Medicine, The University of Jordan, Amman, Jordan
Central Research Institute of Epidemiology, Moscow, Russian Federation
Clinical and Chemical Pathology Department, Faculty of Medicine, Cairo University, Egypt
Infectious Diseases Intensive Care Unit, Centro Hospitalar Universitário de São João, Porto, Portugal
Department of Pediatric Oncology, National Cancer Institute - Cairo University/Children Cancer Hospital Egypt, Cairo, Egypt
Department of Infectious Diseases and Clinical Microbiology, Algomed Hospital, Adana, Turkey
Department of Surgical, Oncological and Oral Science (Di.Chir.On.S.), University of Palermo and Department of Anesthesia, Intensive Care and Emergency, Policlinico Paolo Giaccone, Palermo, Italy
Department of Infectious Diseases, Garibaldi Nesima Hospital, Catania, Italy
Hospital Nitra, St. Elisabeth University of Health Care and Social Work, Bratislava, Slovakia
Infectious Diseases and Tropical Medicine Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Dr. Victor Babes Clinical Hospital of Infectious and Tropical Diseases, Bucharest, Romania
National Institute of Health, Islamabad, Pakistan
Military Medical Academy, Sofia, Bulgaria
Infectious Diseases Division, Sheikh Shakhbout Medical City, Abu Dhabi, United Arab Emirates
Department of Neurology, Assiut University, Assiut, Egypt
Department of Hematology and Medical Oncology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Department of Infectious Diseases and Clinical Microbiology, Ataturk University, Faculty of Medicine, Erzurum, Turkey
Department of Clinical and Molecular Microbiology, University Hospital Centre Zagreb, Croatia
University Teaching Hospital, Bialystok, Poland
Institution of Trauma and Orthopedics, Astana Medical University, Nur-Sultan, Kazakhstan
Medical Parasitology, Faculty of Medicine, Suez university, Suez, Egypt
UOC Anestesia e Rianimazione 1, Foundation IRCCS Policlinico San Matteo, Pavia, Italy
Pediatric Intensive Care Unit, Dr. Behçet Uz Childrens Hospital, Izmir, Turkey
Department of Infectious and Tropical Diseases, University Hospital of Pontchaillou, Rennes, France
Department of Medical Microbiology and Immunology, Faculty of Medicine, Zagazig University, Zagazig, Egypt
Department of Public Health and Informatics, Jahangirnagar University, Bangladesh
Hospital Municipal de San Juan, San Juan, Puerto Rico
Infectious Diseases Unit, Umberto I Hospital, Siracusa, Italy
Elias Emergency University Hospital, Bucharest, Romania
American University of Beirut Medical Center, Beirut, Lebanon

Pediatric Infectious Diseases Department
Department of Infectious Diseases
Department of Clinical Pathology
Pharmaceutical Care Division
Department of Infectious Diseases
Department of Infectious Diseases
Department of Medical Microbiology and Immunology
Department of Infectious Diseases and Clinical Microbiology
Department of Infectious Diseases and Clinical Microbiology
Department of Anesthesiology and Intensive Care
Department of Infectious Diseases
Central Research Institute of Epidemiology
Clinical and Chemical Pathology Department
Infectious Diseases Intensive Care Unit
Department of Pediatric Oncology
Department of Infectious Diseases and Clinical Microbiology
Department of Surgical
Department of Infectious Diseases
Hospital Nitra
Infectious Diseases and Tropical Medicine Research Center
Dr. Victor Babes Clinical Hospital of Infectious and Tropical Diseases
National Institute of Health
Military Medical Academy
Infectious Diseases Division
Department of Neurology
Department of Hematology and Medical Oncology
Department of Infectious Diseases and Clinical Microbiology
Department of Clinical and Molecular Microbiology
University Teaching Hospital
Institution of Trauma and Orthopedics
Medical Parasitology
UOC Anestesia e Rianimazione 1
Pediatric Intensive Care Unit
Department of Infectious and Tropical Diseases
Department of Medical Microbiology and Immunology
Department of Public Health and Informatics
Hospital Municipal de San Juan
Infectious Diseases Unit
Elias Emergency University Hospital
American University of Beirut Medical Center

10 лет помогаем публиковать статьи Международный издатель

Книга Публикация научной статьи Волощук 2026 Book Publication of a scientific article 2026